经络检测技术指导循经取穴治疗单纯性肥胖的临床观察
发布时间：2018-08-31 16:26
【摘要】：目的验证经络检测作为单纯性肥胖循经取穴依据的有效性,以期为单纯性肥胖提供新的治疗方法。方法将招募到的单纯性肥胖患者随机分为试验组和对照组,1)试验组采用JK-02B型中医经络检测仪,以12经脉左右两侧特定穴位为采集点进行经络检测,检测完毕后根据其导出的单经分析报告来判断经络虚实,即能量值在L区间内,属虚证,能量值在H区间内,属实证,本课题将具有虚实偏颇的经络均作为病变经络,然后根据检测结果,直接循经取病变经络上的穴位进行治疗;2)对照组根据王启才主编的《针灸治疗学》中该疾病相关的辨证方法进行辨证分型和针刺治疗,以中脘、关元、水分、阴陵泉、内庭、三阴交、丰隆、上巨虚、天枢、大横、曲池、支沟为主穴,痰湿闭阻证加内关、足三里;胃肠腑热证加合谷;肝郁气滞证加期门、太冲;脾肾阳虚证加气海、脾俞、肾俞、足三里。试验组与对照组均按局部配穴法选用相同的配穴。常规消毒后,取长为40-75毫米,直径为0.30毫米的毫针进行针刺,连接电针仪,选用疏密波。以10次为1疗程,共治疗2个疗程,第1疗程每天连续治疗,第2疗程隔天治疗1次。观察比较两组有效率的差异及治疗前后体重、体质指数(BMI)、肥胖度、脂肪百分率的变化。结果1.试验组临床痊愈1人(3.45%),显效12人(41.38%),有效11人(37.93%),无效5人(17.24%),总有效率82.76%;对照组显效4人(14.29%),有效 13 人(46.43%),无效 11 人(39.28%),总有效率 60.72%。与对照组相比,试验组临床疗效具有显著统计学意义(p0.01)。2.两组各项指标治疗前后比较,均有统计学意义(p0.01),与对照组相比,脂肪百分率治疗前后的差值具有明显差异(p0.01)。结论1.在经络检测的基础上指导针刺循经取穴治疗单纯性肥胖,疗效优于传统辨证论治法,同时可明显减小皮皱厚度,改善体脂分布,猜测可能与“检测并疏通病变经络,改善循行所过的局部壅堵,促进局部脂肪代谢以及循经取穴可改善本经功能,治疗该经络系统病变,针对病因治疗”相关。2.运用中医经络检测仪检测出病变经络,给予客观指标,量化经络虚实偏颇数据,从病变经络入手,有针对性地对疾病进行循经取穴,为病因病机较为复杂的疾病提供了新的临床治疗方法。
[Abstract]:Objective to verify the validity of meridian detection as a basis for simple obesity along meridian and to provide a new treatment for simple obesity. Methods the recruited simple obese patients were randomly divided into two groups: the experimental group and the control group. In the experimental group, the meridian and collaterals were detected with JK-02B type meridian detector and 12 specific acupoints on the left and right sides of meridians were used as the collection points to detect the meridians and collaterals. After the detection, we can judge the deficiency of meridians and collaterals according to the single analysis report, that is, the energy value is in L interval, which belongs to deficiency syndrome, and energy value is in H interval, which belongs to empirical evidence. In this paper, the meridians with bias of deficiency and reality are all regarded as pathological meridians. Then according to the results of the examination, the acupoints on the diseased meridians were taken directly along the meridians for treatment. 2) the control group was treated with syndrome differentiation and acupuncture treatment according to the syndrome differentiation methods related to the disease in Wang Qicai's "Acupuncture Therapeutics" edited by Wang Qicai, and was treated with Zhongwan and Guanyuan. Water, Yin Ling Spring, Chamber, Sanyinjiao, Fenglong, Shangzuxu, Tianshu, Great Transverse, Quchi, Zhigou mainly points, phlegm dampness blocking Syndrome plus Neiguan, Zusanli; Gastrointestinal Heat Syndrome plus Hegu; liver stagnation and Qi stagnation plus Gate, too Chong; Spleen-kidney yang deficiency syndrome plus air-sea, spleen-Yu, kidney-Yu, Zusanli. The experimental group and the control group selected the same points according to the method of local point matching. After routine disinfection, the needle of 40-75 mm in length and 0. 30 mm in diameter was used for acupuncture, the electroacupuncture instrument was connected, and the density wave was selected. 10 times as a course of treatment, a total of 2 courses of treatment, the first course of continuous treatment every day, the second course of treatment every other day. The difference of effective rate and the changes of body weight, body mass index (BMI),) and fat percentage before and after treatment were observed and compared between the two groups. Result 1. In the trial group, 1 patient (3.45%) was cured, 12 cases (41.38%) were significantly effective, 11 cases (37.93%) were effective, 5 cases (17.24%) were ineffective, and the total effective rate was 82.76, while in the control group, 4 cases (14.29%) were effective, 13 cases (46.43%) were effective, 11 cases (39.28%) were ineffective, and the total effective rate was 60.72 2%. Compared with the control group, the clinical efficacy of the trial group has significant statistical significance (p 0.01). 2. There was significant difference between the two groups before and after treatment (p0.01), compared with the control group, the difference of fat percentage before and after treatment had significant difference (p0.01). Conclusion 1. On the basis of meridian examination, acupuncture along meridians and acupoints are used to treat simple obesity. The curative effect is superior to that of traditional syndrome differentiation. At the same time, it can obviously reduce the thickness of skin wrinkle, improve the distribution of body fat, and guess that it may be associated with "detecting and dredging the diseased meridians." Improving the local blockage, promoting local fat metabolism and acupoints along the meridian can improve the function of the meridian, treat the pathological changes of the meridian system, and treat the etiological factors. Using the traditional Chinese medicine meridian detector to detect the pathological meridians, give objective indexes, quantify the bias data of the meridians, start with the diseased meridians, and point out the disease along the meridians. It provides a new clinical treatment for diseases with complicated etiology and pathogenesis.
【学位授予单位】：南方医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1
本文编号：2215530
[Abstract]:Objective to verify the validity of meridian detection as a basis for simple obesity along meridian and to provide a new treatment for simple obesity. Methods the recruited simple obese patients were randomly divided into two groups: the experimental group and the control group. In the experimental group, the meridian and collaterals were detected with JK-02B type meridian detector and 12 specific acupoints on the left and right sides of meridians were used as the collection points to detect the meridians and collaterals. After the detection, we can judge the deficiency of meridians and collaterals according to the single analysis report, that is, the energy value is in L interval, which belongs to deficiency syndrome, and energy value is in H interval, which belongs to empirical evidence. In this paper, the meridians with bias of deficiency and reality are all regarded as pathological meridians. Then according to the results of the examination, the acupoints on the diseased meridians were taken directly along the meridians for treatment. 2) the control group was treated with syndrome differentiation and acupuncture treatment according to the syndrome differentiation methods related to the disease in Wang Qicai's "Acupuncture Therapeutics" edited by Wang Qicai, and was treated with Zhongwan and Guanyuan. Water, Yin Ling Spring, Chamber, Sanyinjiao, Fenglong, Shangzuxu, Tianshu, Great Transverse, Quchi, Zhigou mainly points, phlegm dampness blocking Syndrome plus Neiguan, Zusanli; Gastrointestinal Heat Syndrome plus Hegu; liver stagnation and Qi stagnation plus Gate, too Chong; Spleen-kidney yang deficiency syndrome plus air-sea, spleen-Yu, kidney-Yu, Zusanli. The experimental group and the control group selected the same points according to the method of local point matching. After routine disinfection, the needle of 40-75 mm in length and 0. 30 mm in diameter was used for acupuncture, the electroacupuncture instrument was connected, and the density wave was selected. 10 times as a course of treatment, a total of 2 courses of treatment, the first course of continuous treatment every day, the second course of treatment every other day. The difference of effective rate and the changes of body weight, body mass index (BMI),) and fat percentage before and after treatment were observed and compared between the two groups. Result 1. In the trial group, 1 patient (3.45%) was cured, 12 cases (41.38%) were significantly effective, 11 cases (37.93%) were effective, 5 cases (17.24%) were ineffective, and the total effective rate was 82.76, while in the control group, 4 cases (14.29%) were effective, 13 cases (46.43%) were effective, 11 cases (39.28%) were ineffective, and the total effective rate was 60.72 2%. Compared with the control group, the clinical efficacy of the trial group has significant statistical significance (p 0.01). 2. There was significant difference between the two groups before and after treatment (p0.01), compared with the control group, the difference of fat percentage before and after treatment had significant difference (p0.01). Conclusion 1. On the basis of meridian examination, acupuncture along meridians and acupoints are used to treat simple obesity. The curative effect is superior to that of traditional syndrome differentiation. At the same time, it can obviously reduce the thickness of skin wrinkle, improve the distribution of body fat, and guess that it may be associated with "detecting and dredging the diseased meridians." Improving the local blockage, promoting local fat metabolism and acupoints along the meridian can improve the function of the meridian, treat the pathological changes of the meridian system, and treat the etiological factors. Using the traditional Chinese medicine meridian detector to detect the pathological meridians, give objective indexes, quantify the bias data of the meridians, start with the diseased meridians, and point out the disease along the meridians. It provides a new clinical treatment for diseases with complicated etiology and pathogenesis.
【学位授予单位】：南方医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1
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